Individual
KRYSTEN NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
534 BROADHOLLOW RD STE LL70, MELVILLE, NY 11747-3673
(375) 063-1861
Mailing address
136 OLDFIELD AVE, AMITYVILLE, NY 11701-3128
(516) 581-7750
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
NY
Other
Enumeration date
12/10/2021
Last updated
12/10/2021
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